NUSA FLEET VEHICLE INSPECTION V3

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Exterior photos of vehicle.

• Take a photo of front and driver side.

  Media

• Take a photo of rear and driver side.

  Media

• Take photo of front and passenger side.

  Media

• Take a photo of rear and passenger side.

  Media

• Interior photos of vehicle.

• Driver compartment (front and rear, if applicable)

  Media

• Cargo/storage compartment(s).

  Media

VEHICLE DESCRIPTION

• Driver department number (i.e. Route Number).

• Driver Name

• Year, Make and Model of Vehicle

• Fleet Unit Number. Listed on Maintenance Card.

• Photo of Odometer.

  Media

EXTERIOR LIGHTING (Take photo's of any damage)

• The high and low beams are operational.

  Yes

  No

  N/A

• The left and right turn signals are operational.

  Yes

  No

  N/A

• All brake lights are operational.

  Yes

  No

  N/A

• Reverse lights are operational.

  Yes

  No

  N/A

TIRES

• Front tires are in good condition with no visible signs of damage.

  Yes

  No

  N/A

• Rear tires are in good condition with no visible signs of damage.

  Yes

  No

  N/A

• The spare tire is present and in good condition with no visible signs of damage.

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take photo's of any damage)

• The windshield is free of cracks and chips larger than a dime.

  Yes

  No

  N/A

• The front hood, grill and bumper are free of damage.

  Yes

  No

  N/A

• The driver side is free of damage.

  Yes

  No

  N/A

• The rear of the vehicle and bumper is free of damage.

  Yes

  No

  N/A

• The license plate is current and not expired.

  Yes

  No

  N/A

• The passenger side is free of damage.

  Yes

  No

  N/A

• The vehicle is clean and free of road grime and dirt.

  Yes

  No

  N/A

INTERIOR

• All seats are in a good and clean condition.

  Yes

  No

  N/A

• All seat belts are in a good and clean condition.

  Yes

  No

  N/A

• All the gauges are operational and show within the acceptable ranges.

  Yes

  No

  N/A

• Vehicle GPS system active & operational (if applicable)

  Yes

  No

  N/A

• The windshield wipers are functioning and in good condition.

  Yes

  No

  N/A

• The heater and defroster are operational.

  Yes

  No

  N/A

• The air conditioning is operational.

  Yes

  No

  N/A

• The interior compartment lights are operational.

  Yes

  No

  N/A

• The interior is clean and free of loose objects.

  Yes

  No

  N/A

• Vehicle is organized properly according to operators position.

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• Photo of Fuel & Maintenance card secured in vehicle

  Media

• Photo of Vehicle Insurance ID card secured in vehicle

  Media

• Insurance ID is current. (not expired)

  Yes

  No

  N/A

• Photo of Vehicle Registration secured in vehicle

  Media

• Vehicle Registration is current. (not expired)

  Yes

  No

  N/A

• The vehicle is serviced according to the manufacturers schedule.

  Yes

  No

  N/A

• Note the date of the last service.

  Date

• List any Service Lights that are illuminated with vehicle on.

• Note odometer reading at time of last service.

• Inspector conducted TEST drive of vehicle.

  Yes

  No

  N/A

• Inspector must make note of any unusual vehicle sounds, vibrations, actions, responses, service lights, etc based on test drive.

SIGNATURES

• Date Completed

  Date

• Signature of inspector

  Sign

• Signature of driver / responsible person

  Sign

SUMMARY

• Final comments / conclusion